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Related Experiment Video

Updated: Sep 18, 2025

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
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A Network Analysis of Health Care Access and Behavioral/Mental Health in Hispanic Children and Adolescents.

Isis Garcia-Rodriguez1, Samuel J West2, Camila Tirado1

  • 1Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA.

Behavioral Sciences (Basel, Switzerland)
|June 26, 2025
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Summary

Hispanic youth face significant unmet health needs. This study reveals how healthcare access influences their mental health, highlighting the need for ecological interventions.

Keywords:
Hispanic youthNHISbarriersmental healthpsychometric network analysis

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Area of Science:

  • Public Health
  • Adolescent Health
  • Mental Health Services Research

Background:

  • Hispanic youth experience disproportionately high rates of unmet physical and mental health needs.
  • Understanding the determinants of behavioral and mental health in this population is critical for effective intervention.
  • Existing research often overlooks the complex interplay between healthcare access and mental well-being in Hispanic adolescents.

Purpose of the Study:

  • To investigate the pathways through which child and adolescent healthcare access influences behavioral and mental health outcomes.
  • To analyze the specific factors within healthcare access (e.g., transportation, service availability) that impact mental health.
  • To identify unique associations between healthcare access and mental health indicators among U.S. Hispanic youth.

Main Methods:

  • Utilized psychometric network analysis on a national sample of 1711 U.S. Hispanic youth.
  • Examined relationships between child healthcare access indicators and behavioral/mental health variables.
  • Analyzed factors such as transportation, health service accessibility, depression, anxiety, school settings, and friendships.

Main Results:

  • Identified specific pathways linking child healthcare access to behavioral and mental health outcomes.
  • Found significant associations between depression, anxiety, school environments, and peer relationships.
  • Highlighted the interconnectedness of social determinants and mental health in Hispanic youth.

Conclusions:

  • Healthcare access is a critical factor influencing the mental health of Hispanic youth.
  • Interventions should adopt an ecological systems framework, considering social and environmental factors.
  • Findings provide a foundation for developing targeted strategies to address barriers and improve mental health services for Hispanic adolescents.